CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: T J Samson Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $707
Cash Discount Price: $808
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at T J Samson Community Hospital is $707. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $808. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.81x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$808

Average discount available for prompt cash payment at this facility.

Insurance Median

$707

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)

Cash / Self-Pay: $808 (92%)

Insurance Median: $707 (81%)

Cash: $808 (92% of Medicare)

Ins. Median: $707 (81% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$115 - $1,854	13%
Center Care Select - All Plans	$115 - $1,854	13%
Signature Health - All Plans	$115 - $882	13%
Wellcare Mcr Adv - All Other Plans	$115 - $873	13%
Humana	$116 - $873	13%
Molina Mcr Adv	$118 - $891	13%
Devoted Mcr Adv - All Plans	$121 - $917	14%
Caresource - All Plans	$150 - $1,310	17%
Molina Marketplace - All Other Plans	$150 - $1,310	17%
Aetna	$305 - $542	35%
Wellcare Mcaid	$305 - $856	35%
Molina Mcaid	$314 - $559	36%
UnitedHealthcare	$1,695	193%
Phcs/Multiplan - All Plans	$2,050	234%
First Health - All Plans	$2,072	236%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $808.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm T J Samson Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.